For the first time, the American College of Obstetricians & Gynecologists (ACOG) has released its own recommendations for maternal vaccination, providing formal guidance that diverges from that of the Centers for Disease Control and Prevention amid unprecedented policy changes and meddling from anti-vaccine Health Secretary Robert F. Kennedy Jr.

ACOG President Camille Clare blamed "changing national recommendations coupled with rampant vaccine misinformation" for the confusion among patients and health care professionals about vaccines during pregnancy.

"It is incredibly important for the public to have access to reliable, evidence-based information on maternal immunizations from a trusted source. ACOG is proud to be that source," Clare said in a statement.

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Ravenous, flesh-eating flies have busted through containment barriers and have now reemerged in the US. On Monday and Tuesday, the US Department of Agriculture reported three new cases, bringing the tally to five.

One of the cases is in a dog, though it's unclear where it became infected; the dog lives in New Mexico, had its infection reported in Texas, and may have recently traveled to Mexico, where the flies are also spreading. But the other four US cases were all in Texas—and all in calves—two in Zavala County and two in La Salle County.

Almost all the attention over screwworm's resurgence has focused on the threat to livestock, like the calves and, in turn, the financial risk to the cattle industry. The fly's voracious, screw-shaped larvae can fell cattle if given the chance, and preventing infestations requires intense vigilance. The USDA has estimated that if the flies stage a comeback rivaling isolated outbreaks of the past, they could cost Texas producers $732 million per year and the Texas economy $1.8 billion.

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The Food and Drug Administration this week posted what critics call an "underwhelming" epilogue to the devastating outbreak of botulism in babies, which was linked to spore-contaminated formula made by ByHeart. Despite clear tracking of the contamination, the regulator still doesn't know how the bacteria arrived in the formula—or how to prevent it from happening again.

"The FDA's investigation into the root cause is ongoing with a focus on ingredients," the agency reported.

In the void, three companies at the center of the investigation are left pointing fingers at each other, with none publicly taking responsibility for the contamination.

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